Learning from practice – Reflections on a critical incident

McBrien, Barry

doi:10.1016/j.aaen.2007.03.004

Cited by 28 publications

(22 citation statements)

References 19 publications

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“…The discussions served as a verification of that the assessments were correct and optimal actions were performed. New knowledge and experience was created by reflecting on the events, which are corroborated by previous research [22,23] as well as included in the SAN’s competence description [7]. From this, arises an awareness that further research is needed on how structured discussions between colleagues may enhance the practical acquiring of knowledge and experience in the profession.…”

Section: Discussionmentioning

confidence: 88%

The Prehospital assessment of severe trauma patients` performed by the specialist ambulance nurse in Sweden – a phenomenographic study

Abelsson

Lindwall

2012

Scand J Trauma Resusc Emerg Med

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BackgroundA common feature of prehospital emergency care is the short and fragmentary patient encounters with increased demands for efficient and rapid treatment. Crucial decisions are often made and the premise is the specialist ambulance nurse’s ability to capture the situation instantaneously. The assessment is therefore a pre-requisite for decisions about appropriate actions. However, the low exposure to severe trauma cases in Sweden leads to vulnerability for the specialist ambulance nurse, which makes the assessment more difficult. Our objective was to describe specialist ambulance nurses’ perceptions of assessing patients exposed to severe trauma.MethodsThis study had a phenomenographic approach and was performed in 2011 as an interview study. 15 specialist ambulance nurses with a minimum of 2.5 years of experience from praxis were included. The analysis of data was performed using phenomenography according to Marton.ResultsThe perceptions of assessing patients exposed to severe trauma were divided into: To be prepared for emergency situations, Confidence in one’s own leadership and Developing professional knowledge.ConclusionsThis study reveals that the specialist ambulance nurse, on the scene of accident, finds the task of assessment of severe trauma patients difficult and complicated. In some cases, even exceeding what they feel competent to accomplish. The specialist ambulance nurses feel that no trauma scenarios are alike and that more practical skills, more training, exercise and feedback are needed.

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Section: Discussionmentioning

confidence: 88%

The Prehospital assessment of severe trauma patients` performed by the specialist ambulance nurse in Sweden – a phenomenographic study

Abelsson

Lindwall

2012

Scand J Trauma Resusc Emerg Med

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“…As such, nude drawing might be understood as a kind of "critical incident", a concept described by several health care scholars (Boud, Keogh & Walker, 1985;Martin & Mitchell, 2001;McBrian, 2007). As a concept, "critical incident" is used to describe situations that make a deep impression, and thus create a kind of emotional and professional imbalance.…”

Section: Nude Drawing: a Critical Incident As A Starting Point For Rementioning

confidence: 97%

Nude drawing – a relevant tool in Health Professions Education? Developing skills in observation method for reflective physiotherapy practice

Fougner

Kordahl

2011

Arts & Health

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Background: The Mensendieck physiotherapy programme at Oslo University College includes nude drawing as part of the curriculum. Aim: To explore how nude drawing can be used as a tool for encouraging the students to reflect on observation from different perspectives. Method: The data are based on a thematic analysis of 50 reflection papers. Findings: The students' reflections indicate that nude drawing contributes to an awareness of perceiving the body as object and subject. Their reflections also illuminate a growing consciousness of preconceptions and ethical aspects of observation as a method. Conclusion: Nude drawing seems to be an effective teaching tool. However, the relevance of the knowledge needs to be made explicit in terms of its application for the students' clinical training.

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“…However, this increasing responsibility was experienced as worrying. Other studies conclude that reflecting about previous experiences is a tool which mentally prepares the ambulance crew for future situations (Jonsson and Segesten, 2004;McBrien, 2007).…”

Section: Introductionmentioning

confidence: 97%

Factors influencing decision making among ambulance nurses in emergency care situations

Gunnarsson

Stomberg

2009

International Emergency Nursing

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Learning from practice – Reflections on a critical incident

Cited by 28 publications

References 19 publications

The Prehospital assessment of severe trauma patients` performed by the specialist ambulance nurse in Sweden – a phenomenographic study

The Prehospital assessment of severe trauma patients` performed by the specialist ambulance nurse in Sweden – a phenomenographic study

Nude drawing – a relevant tool in Health Professions Education? Developing skills in observation method for reflective physiotherapy practice

Factors influencing decision making among ambulance nurses in emergency care situations

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